Effectiveness of a Door-to-balloon System in a New Hospital

Objectives: Door-to-balloon (D2B) is a time measurement in emergency cardiac care, in the treatment of ST segment elevation myocardial infarction (STEMI). ACC/AHA guidelines recommend a door-to-balloon interval of no more than 90 minutes. D2B has become a core quality measure for many health care systems. Nevertheless the effectiveness and implantation of such system in a new hospital is a challenging task. The aim of the current study was to evaluate the effectiveness of D2b system in a new hospital, Assuta-Ashdod University Hospital.

Methods: A prospective observational registry of patients admitted to the ICCU was conducted between January 2018 and December 2018.

Results: Seven hundred and thirty patients were admitted to the ICCU during 11 months period. Of them 129 (18%) had STEMI and underwent primary percutaneous coronary intervention (PPCI). Mean age of 62(±13.6) years old, and 78% were male and 9% percent had primary ventricular fibrillation on admission. Patients arrival to the hospital was by their own car 18%, by ambulance 15% and by mobile ICU 67%. Time of arrival to the hospital was 38% during morning shift, 37% during evening shift and 25% during night shift. Mean D2B time was 57(±42.9) minutes (range 5-368). D2B

Conclusions: D2B is a core quality measure for health care systems. Establishing D2B system in a new hospital is challenging, nevertheless, it is feasible and requires collaboration of physicians nurses rentgenologists and mobile ICU stuff.